Increased competency of registered dietitian nutritionists in physical examination skills after simulation-based education in the United States

Purpose This study aimed to translate simulation-based dietitian nutritionist education to clinical competency attainment in a group of practicing registered dietitian nutritionists (RDNs). Using a standardized instrument to measure performance on a newly-required clinical skill, the nutrition-focus...

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Main Authors: Elizabeth MacQuillan, Jennifer Ford, Kristin Baird
Format: Article
Language:English
Published: Korea Health Personnel Licensing Examination Institute 2020-12-01
Series:Journal of Educational Evaluation for Health Professions
Subjects:
Online Access:http://www.jeehp.org/upload/jeehp-17-40.pdf
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author Elizabeth MacQuillan
Jennifer Ford
Kristin Baird
author_facet Elizabeth MacQuillan
Jennifer Ford
Kristin Baird
author_sort Elizabeth MacQuillan
collection DOAJ
description Purpose This study aimed to translate simulation-based dietitian nutritionist education to clinical competency attainment in a group of practicing registered dietitian nutritionists (RDNs). Using a standardized instrument to measure performance on a newly-required clinical skill, the nutrition-focused physical exam (NFPE), competence was measured both before and after a simulation-based education (SBE) session. Methods Eighteen practicing RDNs were recruited by their employer, Spectrum Health. Following a pre-briefing session, participants completed an initial 10-minute encounter, performing NFPE on a standardized patient (SP). Next, participants completed a 90-minute SBE training session on skills within the NFPE, including hands-on practice and role play, followed by a post-training SP encounter. Video recordings of the SP encounters were scored to assess competence in 7 skill areas within the NFPE. Scores were analyzed for participants’ initial competence and change in competence. Results The proportions of participants with initial competence ranged from 0% to 44% across the 7 skill areas assessed. The only competency where participants initially scored in the “meets expectations” range was “approach to the patient.” When raw competence scores were assessed for changes from pre- to post-SBE training, the paired t-test indicated significant increases in all 7 competency areas following the simulation-based training (P<0.001). Conclusion This study showed the effectiveness of a SBE training program for increasing competence scores of practicing RDNs on a defined clinical skill.
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spelling doaj.art-0fa53cc24ea14998be1fdfb58662af9f2023-08-02T03:27:55ZengKorea Health Personnel Licensing Examination InstituteJournal of Educational Evaluation for Health Professions1975-59372020-12-011710.3352/jeehp.2020.17.40388Increased competency of registered dietitian nutritionists in physical examination skills after simulation-based education in the United StatesElizabeth MacQuillanJennifer FordKristin BairdPurpose This study aimed to translate simulation-based dietitian nutritionist education to clinical competency attainment in a group of practicing registered dietitian nutritionists (RDNs). Using a standardized instrument to measure performance on a newly-required clinical skill, the nutrition-focused physical exam (NFPE), competence was measured both before and after a simulation-based education (SBE) session. Methods Eighteen practicing RDNs were recruited by their employer, Spectrum Health. Following a pre-briefing session, participants completed an initial 10-minute encounter, performing NFPE on a standardized patient (SP). Next, participants completed a 90-minute SBE training session on skills within the NFPE, including hands-on practice and role play, followed by a post-training SP encounter. Video recordings of the SP encounters were scored to assess competence in 7 skill areas within the NFPE. Scores were analyzed for participants’ initial competence and change in competence. Results The proportions of participants with initial competence ranged from 0% to 44% across the 7 skill areas assessed. The only competency where participants initially scored in the “meets expectations” range was “approach to the patient.” When raw competence scores were assessed for changes from pre- to post-SBE training, the paired t-test indicated significant increases in all 7 competency areas following the simulation-based training (P<0.001). Conclusion This study showed the effectiveness of a SBE training program for increasing competence scores of practicing RDNs on a defined clinical skill.http://www.jeehp.org/upload/jeehp-17-40.pdfclinical competencemotivationnutritionistsphysical examinationunited states
spellingShingle Elizabeth MacQuillan
Jennifer Ford
Kristin Baird
Increased competency of registered dietitian nutritionists in physical examination skills after simulation-based education in the United States
Journal of Educational Evaluation for Health Professions
clinical competence
motivation
nutritionists
physical examination
united states
title Increased competency of registered dietitian nutritionists in physical examination skills after simulation-based education in the United States
title_full Increased competency of registered dietitian nutritionists in physical examination skills after simulation-based education in the United States
title_fullStr Increased competency of registered dietitian nutritionists in physical examination skills after simulation-based education in the United States
title_full_unstemmed Increased competency of registered dietitian nutritionists in physical examination skills after simulation-based education in the United States
title_short Increased competency of registered dietitian nutritionists in physical examination skills after simulation-based education in the United States
title_sort increased competency of registered dietitian nutritionists in physical examination skills after simulation based education in the united states
topic clinical competence
motivation
nutritionists
physical examination
united states
url http://www.jeehp.org/upload/jeehp-17-40.pdf
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AT kristinbaird increasedcompetencyofregistereddietitiannutritionistsinphysicalexaminationskillsaftersimulationbasededucationintheunitedstates